Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Concussion injury of brain110030002
- Start
- 2024-04-08
- Stop
- 2024-04-08
The parties
- Patient
- patient Roscoe Auer
- Provider
- provider Valeria Hoeger
- Care site
- care site PROVIDENCE PLACE
- Payer
- payer Aetna
Record id
0cce4f7a-8ecc-73d8-419c-670ec8fc755c